Individual
NATHAN HERMAN BRAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1410 OAK PARK BLVD, LAKE CHARLES, LA 70601-8848
(337) 478-8470
Mailing address
1410 OAK PARK BLVD, LAKE CHARLES, LA 70601-8848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3242
LA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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